Best case ever.

Best case ever.

Yes, this is EMK's Best Case Ever, and I'm your host, Dr. Anton Helman. In anticipation of our main episode podcast on pediatric UTI myths and misperceptions,

it's my pleasure to have on the show, Dr. Olivia Ostro, who's going to tell us

the story of a three-day-old who presented to Janus General. Dr. Osterosso is new to EM cases, and she's a pediatric

EM physician at Sick Kids Hospital in Toronto, assistant professor at the University of Toronto,

and a medical safety leader with an academic focus in quality improvement.

Dr. Ostro, let's hear your best case ever.

Thank you for having me.

This case will always be in my mind and really help to provide some impetus for the work that I've

been doing of recent around improving storage of

around urinary tract diagnosis and treatment in young children.

So this was a case of a three-day-old term baby who presented to the emergency room

with the complaint of by their parent that the baby had blood in their urine. The baby had been having it for

about 24 hours, but otherwise, according to the mother, had seemed fine. The baby was feeding well,

it was not vomiting, did not have any fevers. And the parent was very convinced the blood was in the urine and not in the stool area. So they

were also stooling well. They looked at normal stools. The baby was being bottled fed, so sort of had

that green transitioning consistency that you often see in a three-day-old and having lots of wet diapers

along with it. but in the diapers,

they noticed a sort of a red or brick dust color. So the vitals of the baby when they were

assessed in triage were all normal. The temperature was 37.3 rectally, so no fever. The heart rate

was also normal at 120 with normal respiratory rate of 40.

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